Abstract
Objective To investigate the clinical efficacy of foot commonpedicle bilobed flap combined with iliac crest bone graft for reconstruction of penetrating finger injuries. Methods From November 2013 to December 2017, 7 cases of penetrating finger injuries were treated by foot commonpedicle bilobed flap or tibial second toe flap with iliac crest bone graft. The donor site of the toe was covered by lower abdominal free skin graft. Results All the flaps survived uneventfully. Partial necrosis of the toe donor site occurred in 1 case which healed after dressing change. The rest donor sites achieved primary healing. The healing time of bone was 2. 0 to 2. 5 months. Postoperative follow-up ranged from 3 to 12 months with an average of 6 months. No bone resorption was found in the transplantation of iliac bone. The flap had good texture and no obvious bulky appearance. The sensation of fingers and flaps recovered to S2to S4. Local scar hyperplasia in the donor site occurred in 1 case. There was no significant scar contracture and influence on foot function. The proximal interphalangeal joint activity of 6 cases without involvement of the proximal interphalangeal joint injuries ranged from 60° to 80° averaging 70°. Joint fusion in functional position was performed in 1 case of damaged proximal interphalangeal joint. Conclusion Foot commonpedicle bilobed flap combined with iliac crest bone graft is an ideal method for reconstruction of penetrating finger injuries. Key words: Finger injuries; Surgical flaps; Commonpedicle; Microsurgery
Published Version
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